Annual DEB Progress Report Form

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Designated Emphasis in Biotechnology: Progress Report
Today’s Date:
Student ID Number (Not your social security #):
Name (Last, First, Middle Initial):
Email address:
Phone (Daytime):
Phone (Lab):
Gender:
Citizenship:
Permanent Resident (Yes/No):
Disability Status (Yes/No):
Underrepresented Minority Status (Yes/No):
How did you first learn about the DEB Program?
Did you register your DEB enrollment with Graduate Studies? (Yes/No)
(if not, please do so ASAP!!!)
Department:
Graduate Group:
Major Professor:
Date Entered Graduate Program:
Date Entered the DEB:
1
DATE
COMPLETED
PROGRAM REQUIREMENTS
GRADE/
LOCATION
ECH 160 - Fundamentals of Biomanufacturing
(fall quarter). This is an ELECTIVE
GGG 296: Scientific Professionalism and
Integrity OR
ABG 401: Ethics and Professionalism in Animal
Biology OR
BIM 209 (formerly BIM289A): Scientific
Ethics and Inquiry OR
ECL 290: Responsible Conduct of Research for
Environmental Scientists may be substituted OR
PMI 250: Philosophy and Ethics of Biomedical
Science OR
PLP 298: Scientific Ethics and Professionalism:
Scientific Ethics in Biotech Research OR
PMI 250: Philosophy and Ethics of Biomedical
Science
Requirement as of 2004.
MCB263: Biotechnology Fundamentals and
Application.
MCB 294/ECH 294: Current Progress in
Biotechnology Seminar
List ALL quarters
(3 quarters needed or 2 quarters w/MIC 292)
**MCB 282: A minimum of 3 months
internship at a biotechnology company* (Please
indicate location!)
MIC 292: From Discovery to Product: An
Introduction to Biotechnology at the Industrial
Level
Elective - May be substituted for 1 of the 3
required MCB/ECH 294 courses
** submit a 1-2 page report to biotechprogram@ucdavis.edu (attn: Dr. Kjelstrom) upon completion
2
Qualifying Exam Date:
Qualifying Exam Committee (One DEB Faculty member required to ask DEB related
questions, please indicate with *; please give both full first and last names)
1)
2)
3)
4)
5)
Proposed Thesis Completion Date:
Proposed Thesis Title:
Thesis Committee (Major Professor must be DEB member, please indicate with *; please
give both full first and last names).
1)
2)
3)
Please answer “yes” or “no” to the following activities:
Have you been a presenter for a Pizza Chalk Talk? ____________
If so, when did you present? ______________________________
Have donated your time on Picnic Day for the Biotech Program?____________
If so, which year? _________________________________________________
Have you volunteered any of your time for our Biotech Program? ____________
If so, what did you volunteer for and when did it occur?
_________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
3
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